Healthcare Provider Details

I. General information

NPI: 1568491033
Provider Name (Legal Business Name): GREAT PLAINS OF SABETHA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 MAIN ST
SABETHA KS
66534-1832
US

IV. Provider business mailing address

P.O. BOX 247
SABETHA KS
66534
US

V. Phone/Fax

Practice location:
  • Phone: 785-284-2141
  • Fax: 785-284-0022
Mailing address:
  • Phone: 785-284-2141
  • Fax: 785-284-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GARRETT LEE COLGLAZIER
Title or Position: CEO
Credential: RHIA
Phone: 785-284-2121